NPI | 1841705886 |
---|---|
Other Name | OTHELLO STATION PHARMACY |
Entity Type | Organization |
Authorized Contact | ABDIRAHMAN TACHE Pharm D 253-269-8871 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2017-12-13 |
Last Update Date | 2018-04-17 |